| NPI | 1407625338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MS 874413) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 35377) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |