| NPI | 1053674556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP06979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 073281) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2013-10-14 |