| NPI | 1518574730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H165722) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 254164) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IA H165722) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-03-07 |