| NPI | 1801035613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 315752) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3682) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2025-10-03 |