| NPI | 1770765182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5003629) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5003629) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-02-16 |