| NPI | 1720660277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 68470) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113703) | |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2021-08-10 |