| NPI | 1922982909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R264675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN200002613) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-10-28 |