| NPI | 1295256337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 21086) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 213206) |
| 164W00000X Licensed Practical Nurse (Licence: SC p39373) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-10-31 |