| NPI | 1245872936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015076) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23332) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2021-11-04 |