| NPI | 1215455373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 23033) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902366) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-12-28 |