| NPI | 1013788991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F08230838) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2026-05-07 |