| NPI | 1922672633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-143008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013693) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2021-06-23 |