| NPI | 1609187749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS R597562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R597562) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 597562) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-07-30 |