| NPI | 1750065041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 090748-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 090748-23) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |