| NPI | 1043473242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 149532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 149532-030) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2011-05-23 |