| NPI | 1376261834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP026131) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP02613) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |