| NPI | 1871275974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: FL 11026947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11026947) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |