| NPI | 1740066760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: UT 1028966-3102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 78326) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-04-10 |