| NPI | 1164215760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 206168) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: LA RN206168) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2026-01-20 |