| NPI | 1275140006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 31295) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 0027616) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-03-30 |