| NPI | 1205249471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902001) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R877171) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18777) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2017-05-03 |