| NPI | 1801851084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: LA AP03531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN071243) |
| 363L00000X Nurse Practitioner (Licence: LA AP03531) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-01-08 |