| NPI | 1801510318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN581938) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-12-12 |