| NPI | 1093261547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113515) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA H168963) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95004784) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2024-10-10 |