| NPI | 1962817908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005769) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CT 005769) | |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2018-10-11 |