| NPI | 1558748202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 24078) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 227055) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2021-01-14 |