| NPI | 1760367916 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024194607) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001317337) | 
| Enumeration Date | 2025-08-07 | 
| Last Update Date | 2025-09-15 |