| NPI | 1942969456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NE 114000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 82257) |
| 363L00000X Nurse Practitioner (Licence: AZ 327195) | |
| 363LF0000X Nurse Practitioner Family (Licence: NE F06211860) | |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2025-08-18 |