| NPI | 1619630100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 084856-23) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NH 084856-21) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NH 084856-23) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-09-25 |