| NPI | 1578354403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: LA 210419) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: LA M8035968) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 210419) | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |