| NPI | 1639962368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-192154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-192154) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-06-18 |