| NPI | 1215745682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 241817) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN158610) |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-06-20 |