| NPI | 1982447306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 295705) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2025-11-12 |