| NPI | 1477984326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03357) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 198325-30) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2017-10-17 |