| NPI | 1356717276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24253) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307462) |
| 363L00000X Nurse Practitioner (Licence: SC 24052) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2026-03-27 |