| NPI | 1366814493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 226773) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-10-11 |