| NPI | 1952705824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD AC001535) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP014373) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-10-10 |