| NPI | 1982155057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904817) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 901817) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-03-20 |