| NPI | 1417486168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024174125) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001242570) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-22 |