| NPI | 1316298235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111426) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 1157) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2025-07-16 |