| NPI | 1174577605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9179050) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 990246) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-03-31 |