| NPI | 1013356526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 189711-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9946) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2025-02-11 |