| NPI | 1922965961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11044854) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11044854) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11044854) | |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-12 |