| NPI | 1265275069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5025286) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: NC 319333) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2026-09-28 |