| NPI | 1306606611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A178325) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 15137-33) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2025-09-17 |