| NPI | 1730909045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 226848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 226848) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2026-06-01 |