| NPI | 1184109761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 202623) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R46793) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2025-09-18 |