| NPI | 1831447424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177902-30) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-06-05 |