| NPI | 1770984825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024172734) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP7291) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2020-10-15 |