| NPI | 1992328991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5013435) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 232538) |
| 363L00000X Nurse Practitioner (Licence: NC AG06200125) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-11-20 |