| NPI | 1760923510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-144653) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN297036) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2023-06-01 |