| NPI | 1497183446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: RI APRN00354) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 8843) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-06-04 |