| NPI | 1891050548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 864614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R864614) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MS 864614) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS F0812323) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-12-03 |