| NPI | 1700347895 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC 1030559) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024177373) | 
| Enumeration Date | 2019-03-29 | 
| Last Update Date | 2019-03-29 |