| NPI | 1245871847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MS 903624) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 25763) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-11-21 |