| NPI | 1568045763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 9423421-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 94234213102) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 2020131612) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2022-04-26 |