| NPI | 1659785582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 18793) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 18793) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-11-09 |