| NPI | 1558965004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD r269975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9375748) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2025-05-16 |