| NPI | 1497546303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 3071387) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ID 67521) |
| 163W00000X Registered Nurse (Licence: OR 201605546RN) | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-10-22 |