| NPI | 1912527961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11015490) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9433862) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-02-06 |