| NPI | 1770382533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5021996) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30104) |
| 363L00000X Nurse Practitioner (Licence: SC 30104) | |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: SC 207581) | |
| 364SL0600X Clinical Nurse Specialist, Long-Term Care (Licence: SC 207581) | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-08-21 |