| NPI | 1770660045 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A002929) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A02929) | 
| Enumeration Date | 2006-11-01 | 
| Last Update Date | 2022-12-01 |