| NPI | 1841444858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 162351) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 13770) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-03-06 |