| NPI | 1891307013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 275002) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5013639) | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-03-01 |