| NPI | 1033674981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H128261) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H128261) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H128261) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-04-04 |