| NPI | 1932987278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 27976) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA 292504) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-11-13 |