| NPI | 1952754756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 9860400-4405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8517904-4405) |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2019-04-30 |