| NPI | 1386267011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178957) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R192764) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2025-11-20 |