| NPI | 1871900548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007014) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F0714180) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2024-07-25 |