| NPI | 1902691496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 242198) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-24 |