| NPI | 1780056390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 262936) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2022-03-11 |