| NPI | 1134318124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009573) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R211931) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2021-04-23 |