| NPI | 1598023061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 19562-1591) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WY 19562) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-02-28 |