| NPI | 1417415456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 278685) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5011597) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2022-04-07 |