| NPI | 1710245691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP06816) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: LA AP06816) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2017-09-25 |