| NPI | 1497369862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 61327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 77657) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-04 |