| NPI | 1285481812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11032575) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11032565) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-07-08 |