| NPI | 1265112213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028448) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL RN9515913) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2026-01-21 |