| NPI | 1508412511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5012161) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012161) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-23 |