| NPI | 1679251748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV 14189-33) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 14189-33) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-08-11 |