| NPI | 1104984699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 28871) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 110238) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |