| NPI | 1417995689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 0050-00966) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18592) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5000966) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-08-04 |