| NPI | 1558652131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R872285) |
| 363L00000X Nurse Practitioner (Licence: LA AP06462) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001801) | |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2025-01-09 |