| NPI | 1639527559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 239931) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 259314) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-03-31 |