| NPI | 1851927099 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 23834)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23834)  | 
| Enumeration Date | 2020-03-19 | 
| Last Update Date | 2021-01-26 |