| NPI | 1134302235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LP-0000347) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: DE LP-0000347) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009625) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2022-04-06 |