| NPI | 1053802926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-127339) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-127339) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11000136) | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2020-01-20 |