| NPI | 1992040208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 21801) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN188543) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2018-08-20 |