| NPI | 1710348560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11001148) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 130425) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2019-04-17 |