| NPI | 1811511603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 24188) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: WA 60816697) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5014573) | |
| 363LF0000X Nurse Practitioner Family (Licence: NC HAMI-IRUO1) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-03-21 |