| NPI | 1356768428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5007961) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R179941) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5007961) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-02-10 |