| NPI | 1417572975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 11991439-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 202009198NP-PP) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-03-08 |