| NPI | 1316386931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17444) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 904357) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2021-01-21 |