| NPI | 1740580307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-113065) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2022-05-02 |