| NPI | 1255707121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35053) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2337810) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN242455) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2024-01-05 |