| NPI | 1003387143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145720) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704283211) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9076) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2024-04-25 |