| NPI | 1063134872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H171281) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA 151802) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H171281) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-11-10 |