| NPI | 1659727345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 184624) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2021-12-02 |