| 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 |