| NPI | 1871069302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21859) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 21859) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-06-05 |