| NPI | 1922861830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-171895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-171895) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2026-01-21 |