| NPI | 1114214848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L-127122) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111199) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-09-02 |