| NPI | 1164219242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NM 83731) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NM 83731) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-24 |