| NPI | 1619145380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024166117) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A03002) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2010-06-08 |