| NPI | 1801485925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5015086) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NC 181968) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2022-09-13 |