| NPI | 1154982866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9491) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 9491) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2026-05-04 |