| NPI | 1265188403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 251581) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-10-28 |