| NPI | 1508427360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28369) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 431451) |
| 363L00000X Nurse Practitioner (Licence: TN 28369) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-09-30 |