| NPI | 1285427682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 206257) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: LA 206257) |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-10-09 |