| NPI | 1710114749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NE 111022) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H139809) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2026-06-10 |