| NPI | 1013587575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 216575) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IN 71016652A) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-07-30 |