| NPI | 1972153401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5012247) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 0000000000) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2022-01-12 |