| NPI | 1225576317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 231983) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-10-25 |