| NPI | 1447689567 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD AC002046) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1031752) | 
| Enumeration Date | 2013-11-08 | 
| Last Update Date | 2017-06-13 |