| NPI | 1285319053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018712) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 306580) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2025-09-23 |