| NPI | 1811403876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2303850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-3475) |
| 363L00000X Nurse Practitioner (Licence: IL 209.023232) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61055169) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 345737) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-07-20 |