| NPI | 1487528345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024198221) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001280391) |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2026-09-10 |