| NPI | 1336524180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R189690) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD R189690) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2018-04-03 |