| NPI | 1760901300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5019359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A107008) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2024-03-06 |