| NPI | 1093020752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: WY 28495.1059) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 28495.1059) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |