| NPI | 1154964450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R2254892) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2024-11-19 |