| NPI | 1427396365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20042) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 17202) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2022-03-02 |