| NPI | 1790347714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024177887) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: VA 0001255376) |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2023-11-27 |