| NPI | 1144916131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 30300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 216101) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2025-06-19 |