| NPI | 1225571300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174135) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: VA 0017143372) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-01-23 |