| NPI | 1881337301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA F178895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 328537) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-04-25 |