| NPI | 1013287044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 16234) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS A810437) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-02-29 |