| NPI | 1770590911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 226) | 
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: SC R80085) | 
| Enumeration Date | 2006-08-01 | 
| Last Update Date | 2018-09-06 |