| NPI | 1881167039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 203899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN132319) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-02-20 |