| NPI | 1043508047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: DC RN1007537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1007537) |
| 163W00000X Registered Nurse (Licence: VA 0001205566) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2014-01-27 |