| NPI | 1225431489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN574902) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2015-09-23 |