| NPI | 1598078867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131421) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2026-04-14 |