| NPI | 1669880001 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004130)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R084216)  | 
| Enumeration Date | 2014-07-29 | 
| Last Update Date | 2014-07-29 |