| NPI | 1588558902 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 30538) | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: SC 245169) | 
| Enumeration Date | 2025-06-09 | 
| Last Update Date | 2025-09-29 |