| NPI | 1164214466 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 114122-23) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 114122-21) | 
| Enumeration Date | 2025-05-21 | 
| Last Update Date | 2025-06-19 |