| NPI | 1629221718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP02679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN81770) |
| 363L00000X Nurse Practitioner (Licence: MA RN265587) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN265587) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2024-10-29 |