| NPI | 1619451606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NM 54164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000217656) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2023-06-08 |