| NPI | 1457735763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001229) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9359380) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2024-05-03 |