| NPI | 1144049321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ND R49389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 14270510-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 202959) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14270510-8900) | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2026-02-15 |