| NPI | 1023275138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 600091) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 33822) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-06-26 |