| NPI | 1396097630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1158A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID NP-1158A) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2021-06-07 |