| NPI | 1730424227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 10026322) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R179383) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2024-10-03 |