| NPI | 1003287418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP015637) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN606373) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-11-10 |