| NPI | 1609766286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 17208-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 897018) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-08-01 |