| NPI | 1962819482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 17363) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA 201356) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2025-06-17 |