| NPI | 1003597279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11030952) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP027191) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-04-03 |