| NPI | 1366045338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015045) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 24496) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2022-06-04 |