| NPI | 1679975650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 060961-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 060961-23) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2024-06-28 |