| NPI | 1629097431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 090101-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002635) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-08-04 |