| NPI | 1033121553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 027354-21) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 027354-23-12) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 027354-23-03) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |