| NPI | 1952800641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-064889) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AL 1-068449) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-10-09 |