| NPI | 1659915775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 147158) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-LIC-147158) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2022-09-26 |