| NPI | 1336631399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP018666) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010486) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2024-10-02 |