| NPI | 1215278320 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 319301) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN228776) | 
| Enumeration Date | 2013-03-14 | 
| Last Update Date | 2025-10-07 |