| NPI | 1992571442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019813) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NC 262065) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-09-30 |