| NPI | 1801585484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 7095257-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 7095257-4405) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-02-22 |