| NPI | 1023140845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 2166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APRN 2166) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-11-11 |