| NPI | 1295879336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2017024426) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2010011532) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2025-10-13 |