| NPI | 1194105171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-134653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 318519) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-08-27 |