| NPI | 1538846258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F432647-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209027601) |
| 363L00000X Nurse Practitioner (Licence: MO 2023018697) | |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2023-07-04 |