| NPI | 1609334291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9436668) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032831) |
| 163W00000X Registered Nurse (Licence: HI RN-112141) | |
| 163W00000X Registered Nurse (Licence: OR 10008050) | |
| 163W00000X Registered Nurse (Licence: NY 858381) | |
| 163W00000X Registered Nurse (Licence: PA RN771611) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2025-01-28 |