| NPI | 1164018578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 15221) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 200508) |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2024-06-04 |