| NPI | 1467817676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200549) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-09-11 |