| NPI | 1104569201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024184694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024184694) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2024-06-27 |