| NPI | 1073493425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 12379690-3102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 12379690-4405) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |