| NPI | 1821823261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 368190) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-12-04 |