| NPI | 1780371468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 266005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 16253) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-12-03 |