| NPI | 1225929680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ND 203680) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R52806) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-10-22 |