| NPI | 1275866600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-184310) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MO 130349) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013923) | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2021-03-25 |