| NPI | 1396421855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC F06231893) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-07-01 |