| NPI | 1437867066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 907512) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 910397) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-06-27 |