| NPI | 1790125557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IA L138324) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 111509) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2019-12-03 |