| NPI | 1215345210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A112768) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H112768) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-08-28 |