| NPI | 1003528316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 114551) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A188169) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2026-02-27 |