| NPI | 1386290369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 905360) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26399) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26399) | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2022-10-07 |