| NPI | 1063276210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 116358-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-185477) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2026-05-28 |