| NPI | 1750553178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 161068) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0050-02522) | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2021-06-23 |