| NPI | 1114452083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20950) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 20950) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: SC 20950) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2018-05-01 |