| NPI | 1851773147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 19561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209700) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2025-08-13 |