| NPI | 1205700671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN10034728) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA NP004067) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2026-02-06 |