| NPI | 1275429094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5024628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 346211) |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2026-06-08 |