| NPI | 1104237932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: UT 9854003-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 379837) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2017-01-19 |