| NPI | 1578055463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP020015) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134894) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-07-23 |