| NPI | 1598863342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP00587) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NM R29765) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM R29765) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-09-16 |