| NPI | 1043601529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1081273) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: AL 1081273) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2016-03-15 |