| NPI | 1841615846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP00575) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM R-29311) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2015-03-12 |