| NPI | 1265970719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP09177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN127478) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-03-06 |