| NPI | 1174086862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 9571685) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 137862) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2025-11-18 |