| NPI | 1942198452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A185101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 164033) |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-09-22 |