| NPI | 1215340872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F0614018) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC F0614018) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2021-09-28 |