| NPI | 1427339167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 289480) |
| 163W00000X Registered Nurse (Licence: NH 064600-21) | |
| 246Z00000X Specialist/Technologist, Other (Licence: MA 8158) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-06-05 |