| NPI | 1932729316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC COLL-G68QT) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NC 285300) |
| 163W00000X Registered Nurse (Licence: NC 285300) | |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |