| NPI | 1457232878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 24194562) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024194562) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2026-01-27 |