| NPI | 1861795445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 39461) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2013-03-04 |