| NPI | 1992538458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 206384) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: LA 206384) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-03-17 |