| NPI | 1407396997 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902162)  | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R867554)  | 
| Enumeration Date | 2017-03-02 | 
| Last Update Date | 2017-07-10 |