| NPI | 1013567445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903432) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-06-05 |