| NPI | 1255407391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 086609-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 5105) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-06-28 |