| NPI | 1568014587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 4270) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 200731) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |