| NPI | 1982590592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 9489391-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 50933) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-10-07 |