| NPI | 1194573238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 229539) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 237014) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-06-10 |