| NPI | 1225507619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011217) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5011217) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2021-09-17 |