| NPI | 1881458438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9613259) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 002461PA) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-08-12 |