| NPI | 1942880331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: DC NP200004625) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432004) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2023-03-02 |