| NPI | 1376298539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ID 60087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 60087) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-03-12 |