| NPI | 1083590194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 30835) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 30835) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 30835) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-09-03 |