| NPI | 1992772073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 2699) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5022704) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2025-07-29 |