| NPI | 1760026504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 111807-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95013954) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11004875) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2025-09-24 |