| NPI | 1881133882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 151466) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 7555) | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-05-08 |