| NPI | 1134107139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MS R854239) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MS R854239) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-05 |