| NPI | 1043925878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5020977) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC AG08240095) |
| 163W00000X Registered Nurse (Licence: NC 271737) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-07-03 |