| NPI | 1568171767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC004992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 55663) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-03-15 |