| NPI | 1053895953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A162168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A162168) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IA A162168) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-02-17 |