| NPI | 1831932219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 915724) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 907813) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2025-09-30 |