| NPI | 1225985682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 11046071) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11046071) |
| Enumeration Date | 2026-03-14 |
| Last Update Date | 2026-03-14 |