| NPI | 1487110631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-146769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN213752) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24291) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-08-19 |