| NPI | 1982365268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 905072) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2026-09-30 |