| NPI | 1609353705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0000274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0033535) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-12-18 |