| NPI | 1871982603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 173510) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NC 173510) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2025-09-11 |