| NPI | 1124883319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019656) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5019656) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-04-15 |