| NPI | 1235297334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2025042317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2621152) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-10-14 |