| NPI | 1295332302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903839) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903839) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2025-10-22 |