| NPI | 1902319684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA sp017980) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME cnp241529) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2024-12-13 |