| NPI | 1124840087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5021484) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 313916) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2025-04-07 |