| NPI | 1164057865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 880120) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 905370) | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-10-26 |