| NPI | 1144564832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5005933) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID NP-1365A) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2016-06-09 |