| NPI | 1144624164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 216550) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2025-09-02 |