| NPI | 1275253171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13347-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 249689-30) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-08-16 |