| NPI | 1346020278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 2025036939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 300562) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2025-08-12 |