| NPI | 1730811324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R228785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R228785) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-09-28 |