| NPI | 1558243683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11040978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9532397) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-23 |