| NPI | 1679362917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5022330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 286763) |
| Enumeration Date | 2025-05-03 |
| Last Update Date | 2025-06-23 |