| NPI | 1063657369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H096105) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 123101) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2024-04-17 |