| NPI | 1245700681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP017121) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017121) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-04-19 |