| NPI | 1316483431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 6905) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95013785) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2022-06-27 |