| NPI | 1780463356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 27997) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC AG06230241) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-11-08 |