| NPI | 1649726480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R180449) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2024-05-14 |