| NPI | 1265111991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H174279) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H174279) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-11-11 |