| NPI | 1639050131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 3571580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 58748) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2026-08-28 |