| NPI | 1154279222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001286333) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024197177) |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-04-22 |