| NPI | 1386019388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 75209) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2023-09-28 |