| NPI | 1902679889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11027659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9460025) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |