| NPI | 1447802418 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8302966-4405)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10029528)  | 
| Enumeration Date | 2019-07-10 | 
| Last Update Date | 2024-10-28 |