| NPI | 1225854094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 266770) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2025-01-28 |