| NPI | 1609214881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP003462Q) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: PA RN305185L) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-01-25 |