| NPI | 1144724923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21753) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-03-23 |