| NPI | 1265840169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 2014011162) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 26178) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2026-07-27 |