| NPI | 1295931251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5003363) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 79066) |
| 363L00000X Nurse Practitioner (Licence: NC 5003363) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2024-08-27 |