| NPI | 1124290937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN557986) |
| 163W00000X Registered Nurse (Licence: DE L1-0030704) | |
| 363L00000X Nurse Practitioner (Licence: DE LZ-0000113) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2009-10-19 |