| NPI | 1578295002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 11042) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 011042) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-11-13 |