| NPI | 1710600135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: TX 1090458) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1090458) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-07-09 |