| NPI | 1255748380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 11163) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY F432651) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9448830) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6612976-4405) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432651) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2023-07-18 |