| NPI | 1053626192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011812) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15141) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2019-07-16 |