| NPI | 1508738204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H187125) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 116361) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-10-13 |