| NPI | 1942741152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H173404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 152666) |
| 247100000X Radiologic Technologist (Licence: IA 515836) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-06-05 |