| NPI | 1073409918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R239916) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R239916) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2026-02-13 |