| NPI | 1801396585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03512) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NM R48866) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2021-12-10 |