| NPI | 1114286440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2305643) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0998761-NP) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 16672) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2024-09-27 |