| NPI | 1609867811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP01054) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM R44545) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-02-14 |