| NPI | 1023527793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 3-001722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9421000) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2026-03-17 |