| NPI | 1093648164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID 8781716) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: ID 43944) |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-19 |