| NPI | 1225438492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005889) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005889) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2015-01-22 |