| NPI | 1629313218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02101) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CMP02101) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2018-07-09 |