| NPI | 1508275298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 2014010233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-119583) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2015-05-07 |