| NPI | 1740003391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9410388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11044341) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2026-01-07 |