| NPI | 1366057788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 011246) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2328794) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-07-18 |