| NPI | 1942713300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010085) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5010085) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010085) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2025-08-19 |