| NPI | 1073903894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 882057) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R882057) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2023-05-11 |