| NPI | 1518497874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A125560) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA A125560) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-12 |