| NPI | 1427647908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 251382) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2025-01-09 |