| NPI | 1285307447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019276) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 9978) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5019276) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-03-26 |