| NPI | 1366825564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0991842) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 17561) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-03-27 |