| NPI | 1558788992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NM CNP 02405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161745) |
| 163W00000X Registered Nurse (Licence: AL 1-128304) | |
| 163W00000X Registered Nurse (Licence: FL 9315690) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN188422) | |
| 163W00000X Registered Nurse (Licence: NM RN 79494) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-05-15 |