| NPI | 1265412316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R102642) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN960460) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2014-02-19 |