| NPI | 1548196926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024198114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001285251) |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-07-15 |