| NPI | 1487180972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R172428) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: DC RN1003365) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2025-05-09 |