| NPI | 1740005685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A182238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 165490) |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2025-10-22 |