| NPI | 1093472177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 70262) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113950) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-02-07 |