| NPI | 1194490573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25155) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 25155) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2024-03-06 |