| NPI | 1114568821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 275988) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2019038323) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-06-17 |