| NPI | 1346941366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-188312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-188312) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2025-11-19 |