| NPI | 1790202463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 007189) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2018-03-17 |