| NPI | 1699376996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP001496) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041425398) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95017524) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-10-02 |