| NPI | 1194923086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 063999-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 063999-23) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 187432) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-07-09 |