| NPI | 1417215047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0027688) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2019-05-29 |