| NPI | 1538654959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 41780) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6079) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2026-07-08 |