| NPI | 1205209681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000021714) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 9580522-4405) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-12-18 |