| NPI | 1861119927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001281886) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: VA 0001281886) | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-03-13 |