| NPI | 1386210482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5014513) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2021015461) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-07-19 |