| NPI | 1710674726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 13896857-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1619994) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0998873) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2024-04-16 |