| NPI | 1841500048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP011025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-512198-L) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2022-02-03 |