| NPI | 1649143264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 287846) |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-02-16 |