| NPI | 1225292576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP05636) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 099673) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2024-03-14 |