| NPI | 1205491891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 112843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 78731) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-06-26 |