| NPI | 1730555194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H160822) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H106822) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-03-17 |