| NPI | 1518379619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R178220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R178220) |
| 163W00000X Registered Nurse (Licence: DC RN1024579) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2016-06-24 |