| NPI | 1235727686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 263284) |
| 363L00000X Nurse Practitioner (Licence: NC F01210773) | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2024-07-29 |