| NPI | 1841122736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 32796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 240413) |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-09-17 |