| NPI | 1164416368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A01737) |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: AR A001737) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-10-14 |