| NPI | 1740614841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2333572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 4081) |
| 363L00000X Nurse Practitioner (Licence: MN R229543-1) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2025-10-10 |