| NPI | 1780197129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5010042) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024180623) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024180623) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2021-07-23 |