| NPI | 1992130777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 217361) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA L128611) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2021-10-08 |