| NPI | 1316581879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11006255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9329993) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-03-12 |