| NPI | 1255097937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP028273) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1058853) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-10-28 |