| NPI | 1417667916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 227314) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: LA 227314) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2023-05-08 |