| NPI | 1063934925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SD CP002524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017006574) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2026-04-28 |