| NPI | 1639644057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 079273-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 079273-23) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8630299-4405) | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-12-27 |