| NPI | 1902270366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5010776) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010776) |
| 363L00000X Nurse Practitioner (Licence: NC 5010776) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-07-15 |