| NPI | 1942668918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R223974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2276097) |
| 163W00000X Registered Nurse (Licence: DE L1-0038108) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2276097) | |
| 163W00000X Registered Nurse (Licence: MD R223974) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-10-11 |