| NPI | 1497192728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009817) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN002222) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY f3064361) | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2018-03-17 |