| NPI | 1831636117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1030112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0047619) |
| 363L00000X Nurse Practitioner (Licence: DE LG-0001014) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-07-30 |