| NPI | 1801001128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R173837) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 3516) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 3516) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-09-29 |