| NPI | 1932258456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP05141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN083622) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-08-24 |