| NPI | 1336013655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11042740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9556732) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-10-27 |