| NPI | 1841945482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31525) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 905297) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-05-19 |