| NPI | 1053436766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R116246) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R116246) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |