| NPI | 1205003910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP011349) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R180897) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2012-09-18 |