| NPI | 1295101947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 29681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29681) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2025-02-07 |