| NPI | 1457137846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11036311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9602494) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-03-02 |