| NPI | 1952814600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 88417) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NM R54673) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2026-07-29 |