| NPI | 1619627213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 847083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 175033) |
| 163W00000X Registered Nurse (Licence: NV 847083) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-09-08 |