| NPI | 1992588966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018664) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5018664) |
| 163W00000X Registered Nurse (Licence: NC 325635) | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-10-30 |