| NPI | 1578867479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI F11170044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI F1117044) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 175794-30) | |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2018-03-17 |