| NPI | 1669087243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013973) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2020009465) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-04-12 |