| NPI | 1760140412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 82336) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-02-02 |