| NPI | 1629712310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 905420) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MS 905420) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-06-25 |