| NPI | 1285094045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008507) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5008507) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5008507) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-04-21 |