| NPI | 1659674737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1021875) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169044) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2014-08-19 |