| NPI | 1780017467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 058888-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 058888-23) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9736) | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2025-02-26 |