| NPI | 1780455170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 287133) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5020215) | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2026-04-29 |