| NPI | 1174758239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA L-096160) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L-096160) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2011-12-15 |