| NPI | 1164159455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32313) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 2022011721) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-05-10 |