| NPI | 1306609573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 302264) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2025-02-18 |