| NPI | 1760929509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: DE LP-0000297) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: ND R43960) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2019-05-14 |