| NPI | 1861795171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01708) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-01708) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2021-04-28 |