| NPI | 1801726930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5025346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0152412) |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-09-03 |