| NPI | 1538790803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R45603) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: ND R45603) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-03-23 |