| NPI | 1376874735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024168507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001199546) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |