| NPI | 1023502606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 159071) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 201392788RN) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-07-07 |