| NPI | 1669256590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 84424) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NM 87965) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2026-06-30 |