| NPI | 1780350033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R212332) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R212332) |
| 363L00000X Nurse Practitioner (Licence: MD R212332) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2022-11-10 |