| NPI | 1932636560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22517) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA rn265268) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 26309) | |
| Enumeration Date | 2017-05-13 |
| Last Update Date | 2023-04-19 |