| NPI | 1912288572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1100A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-35468) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-09-21 |