| NPI | 1679939755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8027594-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201606698NP-PP) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-02-26 |