| NPI | 1679395958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5024018) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL RN9397526) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-03-26 |