| NPI | 1750068995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9595961) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11029183) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2025-10-29 |