| NPI | 1619584026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 009215) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 9215) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-11-03 |