| NPI | 1063095875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021592) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 250856) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-02-28 |