| NPI | 1073060851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008896) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5008896) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-02-16 |