| NPI | 1104210095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A004317) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OK 112410) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-09-14 |