| NPI | 1851082606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 27404) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SC APN.27404) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-06-29 |