| NPI | 1760899637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 203799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R174145) |
| 163W00000X Registered Nurse (Licence: DC RN1024693) | |
| 163W00000X Registered Nurse (Licence: OK 114387) | |
| 163W00000X Registered Nurse (Licence: MI 4704308476) | |
| 363LF0000X Nurse Practitioner Family (Licence: MI 4704308476) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2022-07-21 |