| NPI | 1144062985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5024635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 268469) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2026-06-23 |