| NPI | 1871073528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID ID59455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 47121) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2025-05-26 |