| NPI | 1558246090 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ZZ 6040-35206637) | 
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: UT SL-8826) | 
| 247200000X Technician, Other | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2025-08-06 | 
| Last Update Date | 2025-08-15 |