| NPI | 1124418462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP023592) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R183745) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2021-05-13 |