| NPI | 1033701453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 279453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194855) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2026-07-21 |