| NPI | 1104242668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 70011) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2022-12-09 |