| NPI | 1336643824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 55702) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28208912A) |
| 163W00000X Registered Nurse (Licence: NM 55702) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-02-28 |