| NPI | 1669108361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017057) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5017057) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024185190) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-10-17 |