| NPI | 1386137040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432904) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA 318950) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-10-13 |