| NPI | 1003189861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R183328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R183328) |
| 163W00000X Registered Nurse (Licence: DC RN1008855) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2025-07-02 |