| NPI | 1700452943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015825) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 2019015811) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2023-03-09 |