| NPI | 1912781576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 31861) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 906538) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-08-12 |