| NPI | 1851102206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R247940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R247940) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-06-19 |