| NPI | 1770365579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: DE LP-0010688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0046306) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |