| NPI | 1780924423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A003805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R079317) |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2017-04-18 |