| NPI | 1255306551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SD CP000461) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L113973) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 111169) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-05-05 |