| NPI | 1073221248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 275420) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F09240205) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2024-09-18 |