| NPI | 1619693777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 226684) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 226684) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-20 |