| NPI | 1942485180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-887A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-32262) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2019-12-13 |