| NPI | 1174916407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008534) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 234887) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA rn230258) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-10-23 |