| NPI | 1093472144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015410) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC SPEA-M8R0D) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-02-03 |