| NPI | 1700458742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5015946) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 251601) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2025-01-28 |