| NPI | 1194431866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 237604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 262337) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-01-31 |