| NPI | 1699588426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15797-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 15797-33) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2026-08-11 |