| NPI | 1396120036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H108320) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H108320) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2025-02-12 |