| 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 |