| NPI | 1740595321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14217-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 166136-30) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2023-07-15 |