| NPI | 1194580928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4058400) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35720) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024194181) | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2026-08-11 |