| NPI | 1962045955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX pending) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 223094) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-07-13 |