| NPI | 1972225365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5016926) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC POOR-QN9XF) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-12-13 |