| NPI | 1164496253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP009829) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45824) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 16719) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-05-08 |