| NPI | 1790999878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-100235) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN17658) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-LIC-100235) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-12-20 |