| NPI | 1265919138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001251637) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: VA 0001251637) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2023-09-06 |