| NPI | 1376821561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F0611711) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2025-10-06 |