| NPI | 1154919751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 113449) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H172961) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-02-28 |