| NPI | 1790472439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-184710) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-184710) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2026-05-06 |