| NPI | 1245199835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 40973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 211181) |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-02-06 |