| NPI | 1013315464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24459) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP09247) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R898664) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2019-01-22 |