| NPI | 1124694708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 163687) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-09-02 |