| NPI | 1386046704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: LA AP09288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP09288) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2017-08-02 |