| NPI | 1023267390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110974) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 110974) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2012-08-13 |