| NPI | 1154490704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN63680) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN63680) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN63680) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-02-16 |