| NPI | 1871844290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A083035) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA A083035) |
| 163WH1000X Registered Nurse, Hospice (Licence: IA a083035) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2022-10-18 |