| NPI | 1174293872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015071) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC BRAD-DDBS5) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-11-24 |