| NPI | 1003428293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5013483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F05200690) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC F05200690) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2022-01-12 |