| NPI | 1699545871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP003091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD R052165) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2026-05-21 |