| NPI | 1669238861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R213940) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R213940) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-01-16 |