| NPI | 1093875684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R059004) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: DC RN38162) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-08-07 |