| NPI | 1720813389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11042277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9506400) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-09-16 |