| NPI | 1528778289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023195) |
| Additional Taxonomies | 242T00000X Perfusionist |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2026-07-24 |