| NPI | 1013535384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 208879) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 29664) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2025-07-17 |