| NPI | 1043766249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 69496) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM RN-76968) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-09-10 |