| NPI | 1710797998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R240365) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R240365) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R240365) | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2026-04-16 |