| NPI | 1598176133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9470855) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: NM R39919) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2019-01-02 |