| NPI | 1497417521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 231886) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015194) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-11-02 |