| NPI | 1114212479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA L106771) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L-106771) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2021-06-10 |