| NPI | 1609397520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018311) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN649845) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-12-29 |