| NPI | 1154846566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5010113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 151422) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2025-09-25 |