| NPI | 1831630219 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A005019) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005019) | 
| Enumeration Date | 2017-03-17 | 
| Last Update Date | 2022-06-10 |