| NPI | 1417104662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R119098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R119098) |
| 163W00000X Registered Nurse (Licence: DC RN961126) | |
| 363L00000X Nurse Practitioner (Licence: DC RN961126) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2014-01-17 |