| NPI | 1043860562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23250) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23250) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-01-24 |