| NPI | 1053370296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA TP006892M) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN231234L) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-04-13 |