| NPI | 1841033743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5024733) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 258731) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2026-09-01 |