| NPI | 1881702231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 341309) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MS R754536) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: OR 10012119) | |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2023-12-04 |