| NPI | 1003949926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 114864-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 0050-02513) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-10-09 |