| NPI | 1073334819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5021086) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 224690) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-01-06 |