| NPI | 1710862131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 203033) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ND R36709) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 203033) | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2026-09-30 |