| NPI | 1881009264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP013913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013913) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-07-21 |