| NPI | 1043977051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025064) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA 999999) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-12-15 |