| NPI | 1467274662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 201281) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ND TEMP201281) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-01-17 |