| NPI | 1053715482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP014348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN620380) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2016-02-04 |