| NPI | 1760780829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R188189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 1011754) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2019-02-26 |