| NPI | 1245827369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24488) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-08-09 |