| NPI | 1811212780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02495) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4159) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: AK 116318) | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2018-04-24 |