| NPI | 1972490563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND F03250470) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: ND F03250470) |
| 363LF0000X Nurse Practitioner Family (Licence: ND F03250470) | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |