| NPI | 1043595127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 004749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 078531) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2019-04-25 |