| NPI | 1407492572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 0000026655) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 26655) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |