| NPI | 1467043026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 29093) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904542) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-04-08 |