| NPI | 1477956555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R178644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R178644) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MD R178644) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2016-03-23 |