| NPI | 1871143289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NM 57778) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201390461RN) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-03-13 |