| NPI | 1083966345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121688) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AL 1-121688) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2014-03-24 |