| NPI | 1831978568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 115030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP003660) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-09-09 |