| NPI | 1942694450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024172091) |
| Additional Taxonomies | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: VA 0015000653) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |