| NPI | 1104182054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R174855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R174855) |
| 163W00000X Registered Nurse (Licence: DC RN1026044) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1026044) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2015-08-31 |