| NPI | 1437432994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ID NP-1430A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 4753) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-03-04 |