| NPI | 1710356555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 306424) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111884) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2025-05-13 |