| NPI | 1467604306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110989) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H-120818) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2024-04-23 |