| NPI | 1861627119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 18291) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: CA 18291) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2016-09-30 |