| NPI | 1134046501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11050236) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 9331166) |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-08-20 |