| NPI | 1942977301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 217600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR r093788) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 217600) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30222) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-01-09 |