| NPI | 1013224724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201601297NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2264873) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2016-03-22 |