| NPI | 1285879445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000798) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1014353) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IA L102317) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2019-05-29 |