| NPI | 1770106783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113144) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H158816) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |