| NPI | 1104640820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021156) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY F354891) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NC 5021156) | |
| Enumeration Date | 2024-11-09 |
| Last Update Date | 2025-02-11 |