| NPI | 1972275501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 12751401-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 68854) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-09-12 |