| NPI | 1154570158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 7398) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71002739A) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2021-01-05 |