| NPI | 1144005828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 201883) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 201883) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-05-07 |