| NPI | 1043936578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 14932) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1025085) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-07-15 |