| NPI | 1831572866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9168798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9168798) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-02-28 |