| NPI | 1699394981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 79706) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-10-12 |