| NPI | 1205126562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP06443) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA TAP002514) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2020-04-02 |