| NPI | 1528794435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 231873) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13128) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-10-24 |