| NPI | 1417374992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 18824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 102869) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-07-20 |