| NPI | 1982153870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP016203) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R176611) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2021-06-16 |