| NPI | 1306377999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009355) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC LUCA-04B17Z) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: AL 1-080479) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2019-11-15 |