| NPI | 1992439863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R41628) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: ND R41628) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R41628) | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-11-10 |