| NPI | 1124378641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22414) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004053A) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-06-14 |