| NPI | 1225314917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD AC005529) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2011016705) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2023-07-21 |