| NPI | 1275177909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC 1040702) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD r174431) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-05-19 |