| NPI | 1104266683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900138) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NC 900138) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2026-01-13 |