| NPI | 1467832667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 7630-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 191155) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2017-04-13 |