| NPI | 1275158909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113154) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H159051) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-07-07 |