| NPI | 1679387880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H183758) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H183758) |
| 163W00000X Registered Nurse (Licence: IA 149353) | |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-06-18 |