| NPI | 1053962068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903581) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 903581) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-10-29 |