| NPI | 1245548718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001199995) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2015-01-22 |