| NPI | 1710333133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209995) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-06-09 |