| NPI | 1740874585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI Pending) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 10807) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-05-05 |