| NPI | 1073939542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95002342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 668316-1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430890) | |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2018-08-07 |