| NPI | 1811878200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 17324) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 17324) |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-12-31 |