| NPI | 1588214860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9604) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9604-33) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-09-22 |