| NPI | 1659627669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005716) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: DC RN1027251) |
| 363L00000X Nurse Practitioner (Licence: CT 005716) | |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2014-04-16 |