| NPI | 1962627182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20492) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD 0024165276) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2017-03-09 |