| NPI | 1225720246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 28217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 239968) |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-12-19 |