| NPI | 1902678964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA sp025072) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ14893300) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0010691) | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |