| NPI | 1770966772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R228176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-125807) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2018-05-30 |