| NPI | 1194435974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9538574) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11042444) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2025-10-02 |