| NPI | 1598867582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9231214) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: PR 1089) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2017-03-14 |