| NPI | 1235774357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 26656) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 26656) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP021154) | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-04-20 |