| NPI | 1740174382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 322585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3656) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 123846) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209032408) | |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-11-24 |