| NPI | 1467547950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN2108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 5485181) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-09-06 |