| NPI | 1902994106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024165724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001177817) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-10-25 |