| NPI | 1366760654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 14964) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 17729) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-03-24 |