| NPI | 1679050157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29978) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: SC 207842) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2025-07-01 |