| NPI | 1447912290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015240) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5015240) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC GERA-ZKV2P) | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-04-11 |