| NPI | 1134668239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 23423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017282) |
| 363L00000X Nurse Practitioner (Licence: SC 23423) | |
| 363L00000X Nurse Practitioner (Licence: PA RN690468) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2022-01-20 |