| NPI | 1679110704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26897) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903786) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2022-07-13 |