| NPI | 1164022828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113390) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO 0995773) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2021-01-23 |