| NPI | 1164707907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WY 41948.1828) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN192451) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN192451) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2021-02-10 |