| NPI | 1487228557 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 267231) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN178417) | 
| Enumeration Date | 2021-05-13 | 
| Last Update Date | 2025-05-06 |