| NPI | 1134979016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: ID 54943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9015162-4405) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2026-04-07 |