| NPI | 1417674482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A163550) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA A163550) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2025-09-17 |