| NPI | 1720588684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010345) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5010345) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5010345) | |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2023-12-18 |