| NPI | 1902644685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H165041) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113960) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2026-01-15 |