| NPI | 1710276357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5021356) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15655) |
| 363L00000X Nurse Practitioner (Licence: SC 23286) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-01-28 |