| NPI | 1477204659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015717) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 294297) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015717) | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-09-11 |