| NPI | 1962823914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 74019) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM R41405) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2023-07-19 |