| NPI | 1861940249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A107317) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2025-10-10 |