| NPI | 1013065408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11034464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9360447) |
| 164W00000X Licensed Practical Nurse (Licence: MA 67572) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-08-23 |