| NPI | 1053810010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN69929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 896205) |
| 163W00000X Registered Nurse (Licence: ID 41107) | |
| 163W00000X Registered Nurse (Licence: NV RN84386) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2026-01-22 |