| NPI | 1205491180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22835) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22835) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2021-02-22 |