| NPI | 1194554584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 2024030013) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-172479) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-06-03 |