| NPI | 1417445206 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 249592) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 249592) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 113293-23) | |
| Enumeration Date | 2018-04-26 | 
| Last Update Date | 2025-02-07 |