| NPI | 1437531993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 19553) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19554) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-11-09 |