| NPI | 1619690104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017084) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 229583) |
| 363L00000X Nurse Practitioner (Licence: SC 30673) | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2025-08-13 |