| NPI | 1700279338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21224) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-132667) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 901509) | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-05-16 |