| NPI | 1841875911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28936)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904624)  | 
| Enumeration Date | 2021-03-10 | 
| Last Update Date | 2025-03-04 |