| NPI | 1780071373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009280) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-137482) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5009280) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-07-21 |