| NPI | 1902208523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 19155) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC APN 19155) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: SC 19155) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2022-07-21 |