| NPI | 1699554667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 270752) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: SC 270752) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2026-03-17 |