| NPI | 1164073607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 3-000801) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5012284) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012284) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 3-000801) | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-02-01 |